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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN DAVID ADAME DO
NPI 1053801092
Family Medicine in Little Falls, NY

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment
140 BURWELL ST, LITTLE FALLS, NY 13365(315) 823-1000 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 11, 2026, Sep 24, 2021, Jun 26, 2020 and 1 more (4 updates tracked since 2018).

About John David Adame Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN DAVID ADAME DO (NPI 1053801092) is an individual family medicine provider in Little Falls, New York, licensed in New York (340833) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Arnett Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053801092
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN DAVID ADAMECredential: DO
Location Address140 BURWELL STLittle Falls, NY 13365-1725
Mailing Address1 Atwell RdCooperstown, NY 13326-1301
Phone(315) 823-1000
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2017
Enumeration DateMay 15, 2018
Last NPPES UpdateSeptember 11, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1053801092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 340833✔ Licensed in IN · 02006477A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License UO6147 (FL)
140 BURWELL ST, Little Falls, NY 13365
Open in Google Maps ↗

Secondary Practice Locations 2

Location 139200 Hooker HwyBelle Glade, FL 33430-5368 · Phone (561) 996-5154
Location 25177 McCarty LnLafayette, IN 47905-8764 · Phone (765) 448-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John David Adame Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567868532
PECOS Enrollment IDI20210831002484
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
115 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services53 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13365 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL D ISENBERG MD
Anesthesiology
140 BURWELL ST
LITTLE FALLS, NY 13365
Herkimer County (315) 823-1000
DR. SANTOSH SODHI M.D.
Psychiatry & Neurology (Psychiatry)
140 BURWELL ST
LITTLE FALLS, NY 13365
Herkimer County (315) 823-5327
RICHARD BAYLOR
Physical Therapy Assistant
140 BURWELL ST
LITTLE FALLS, NY 13365
Herkimer County (315) 823-5360
JULIE A BUSH OTR/L, M.S.
Occupational Therapist
140 BURWELL ST
LITTLE FALLS, NY 13365
Herkimer County (315) 823-5360
DR. AMY GRACE MD
Family Medicine
140 BURWELL ST
LITTLE FALLS, NY 13365
Herkimer County (315) 823-4546
BRYAN J VENERUS MD
Emergency Medicine
140 BURWELL ST, SUITE 310
LITTLE FALLS, NY 13365
Herkimer County (315) 823-5230
VALLEY HEALTH SERVICES, INC. ADHC LFH
Skilled Nursing Facility
140 BURWELL ST
LITTLE FALLS, NY 13365
Herkimer County (315) 823-2080
MRS. ALESIA MARIA BOYD NP
Nurse Practitioner (Acute Care)
140 BURWELL ST
LITTLE FALLS, NY 13365
Herkimer County (315) 823-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Adame's NPI number?

The NPI number for John Adame is 1053801092. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is John Adame located?

John Adame practices at 140 Burwell St, Little Falls, NY 13365. The listed phone number is (315) 823-1000.

What is John Adame's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Adame enrolled in Medicare?

Yes. John Adame is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Adame accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list John Adame as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Adame affiliated with any hospitals?

According to CMS data, John Adame is affiliated with Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for John Adame was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.